Gronberg-Carey, Tiana Denise

Gronberg-Carey, Tiana Denise is an individual health care provider with primary practice located at 17189 Interstate 45 S Ste 475 , Shenandoah TX 77385-3320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gronberg-Carey, Tiana Denise can be contacted via phone (936) 270-3933.

Contact Information

Primary practice address
17189 Interstate 45 S Ste 475 Shenandoah TX 77385-3320
Phone: (936) 270-3933
Fax: (713) 791-5134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP113279 Texas

Profile Details

NPI number 1437117165
LBN Legal business name Gronberg-Carey, Tiana Denise
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 19th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117165 NPPES
Texas Other P00433610 RR MEDICARE
Texas MEDICAID 178584201 RR MEDICARE
Texas Other 8Y0066 RR MEDICARE

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